| NPI | 1063692093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SA 60144432) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00014813) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2011-02-08 |